| NPI | 1932467362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 134438) |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2023-02-20 |