| NPI | 1780962043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 53342) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 64422) |
| Enumeration Date | 2011-08-03 |
| Last Update Date | 2020-07-03 |