| NPI | 1225276058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 20679) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 201325) |
| Enumeration Date | 2009-02-02 |
| Last Update Date | 2016-08-18 |