| NPI | 1750476438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 44262) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 40842 Intern) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2021-01-22 |