| NPI | 1801148812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 59765) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 77404) |
| Enumeration Date | 2012-10-15 |
| Last Update Date | 2023-01-10 |