| NPI | 1942556501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 96367) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 79310) |
| Enumeration Date | 2012-07-31 |
| Last Update Date | 2023-08-23 |