| NPI | 1154672442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 84010) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 69768) |
| Enumeration Date | 2012-09-26 |
| Last Update Date | 2018-02-09 |