| NPI | 1003297169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT102771) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 38255) |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2017-11-06 |