| NPI | 1912279175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 97583) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 123669) |
| 106H00000X Marriage & Family Therapist (Licence: CA 67455) | |
| Enumeration Date | 2012-02-03 |
| Last Update Date | 2021-11-03 |