| NPI | 1790049260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 123849) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 111683) |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2021-12-04 |