| NPI | 1023388501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT85019) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 85019) |
| Enumeration Date | 2011-12-30 |
| Last Update Date | 2020-06-22 |