| NPI | 1093131799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 97312) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NY 001092) |
| Enumeration Date | 2014-03-05 |
| Last Update Date | 2019-05-31 |