| NPI | 1700053998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 33281) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA mfc33281) |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2022-12-07 |