| NPI | 1053756791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 88765) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF 72339) |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2016-06-09 |