| NPI | 1073921888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 104998) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF79443) |
| Enumeration Date | 2014-07-24 |
| Last Update Date | 2020-02-05 |