| NPI | 1932495892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 114973) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF 67042) |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2022-11-15 |