| NPI | 1962885665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 122807) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 83395) |
| 106H00000X Marriage & Family Therapist (Licence: CA imf83395) | |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2022-09-29 |