| NPI | 1770732992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 84920) |
| Enumeration Date | 2008-09-11 |
| Last Update Date | 2021-02-09 |