| NPI | 1669647392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 47880) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NM 0106701) |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2024-09-25 |