| NPI | 1619088952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 46651) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFT Intern 47494) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2021-01-06 |