| NPI | 1164859476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 99788) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 75216) |
| Enumeration Date | 2013-10-01 |
| Last Update Date | 2017-06-05 |