| NPI | 1689961039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 90958) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 67055) |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2021-12-23 |