| NPI | 1619124484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA IMF73998) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 119855) |
| Enumeration Date | 2008-08-25 |
| Last Update Date | 2021-01-27 |