| NPI | 1114356482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 96419) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 74191) |
| Enumeration Date | 2013-11-06 |
| Last Update Date | 2020-03-16 |