| NPI | 1629148218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 34963) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NM 4537) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2022-11-08 |