| NPI | 1639512049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 92767) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 70714) |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2021-05-19 |