| NPI | 1063757920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 85864) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 72650) |
| Enumeration Date | 2012-12-04 |
| Last Update Date | 2016-08-10 |