| NPI | 1104237254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 99701) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 87726) |
| Enumeration Date | 2014-05-12 |
| Last Update Date | 2019-03-07 |