| NPI | 1679821664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 87271) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA #87271) |
| Enumeration Date | 2012-08-22 |
| Last Update Date | 2024-03-05 |