| NPI | 1104961630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 42520) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA LMFT42520) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2020-02-05 |