| NPI | 1215486311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 95589) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 114980) |
| Enumeration Date | 2016-09-29 |
| Last Update Date | 2020-09-10 |