| NPI | 1720347842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 101166) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 74882) |
| Enumeration Date | 2012-05-09 |
| Last Update Date | 2023-06-30 |