| NPI | 1013457019 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT127137)  | 
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFTI 97951)  | 
| Enumeration Date | 2017-02-24 | 
| Last Update Date | 2021-07-26 |