| NPI | 1720340318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 110999) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 90021) |
| Enumeration Date | 2012-06-11 |
| Last Update Date | 2021-02-01 |