| NPI | 1114939311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 49016) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF 44207) |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2019-06-06 |