| NPI | 1114476363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 104764) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 71656) |
| Enumeration Date | 2016-09-29 |
| Last Update Date | 2018-03-06 |