| NPI | 1871612747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT121702) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 82320) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2021-01-13 |