| NPI | 1164774006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT99474) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF79499) |
| Enumeration Date | 2012-10-02 |
| Last Update Date | 2020-11-03 |