| NPI | 1679856132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 86362) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF 65614) |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2023-03-06 |