| NPI | 1659649994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 133929) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 68862) |
| Enumeration Date | 2011-12-01 |
| Last Update Date | 2023-10-14 |