| NPI | 1700122678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 102192) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF 71951) |
| Enumeration Date | 2012-12-21 |
| Last Update Date | 2022-09-23 |