| NPI | 1912239898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 51481) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 57168) |
| Enumeration Date | 2010-02-03 |
| Last Update Date | 2022-12-12 |