| NPI | 1942633490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 95046) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 75643) |
| Enumeration Date | 2013-08-19 |
| Last Update Date | 2024-04-01 |