| NPI | 1760824825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 108064) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 82781) |
| Enumeration Date | 2013-07-17 |
| Last Update Date | 2021-11-18 |