| NPI | 1912281064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 87284) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 67527) |
| Enumeration Date | 2011-10-07 |
| Last Update Date | 2021-12-02 |