| NPI | 1619060597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 53845) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF 52108) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2021-02-21 |