| NPI | 1164731964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 101YM0800X) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 21767) |
| Enumeration Date | 2010-09-28 |
| Last Update Date | 2019-06-13 |