| NPI | 1104959469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT40591) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MA 059909) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2020-07-17 |