| NPI | 1639220338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 45986) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 42724) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2019-06-03 |