| NPI | 1215154505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT48592) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 42830) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2019-05-29 |