| NPI | 1225512569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 109471) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: LMFT109471) |
| Enumeration Date | 2018-09-22 |
| Last Update Date | 2018-09-22 |