| NPI | 1720112576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: HI MFT-709-0) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 39255) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2021-08-26 |