| NPI | 1104969815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 95713) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 70562) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2016-10-20 |