| NPI | 1023317070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 91939) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 57104) |
| Enumeration Date | 2011-03-16 |
| Last Update Date | 2018-03-29 |