| NPI | 1225515430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 99490) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC99490) |
| Enumeration Date | 2018-07-20 |
| Last Update Date | 2019-06-07 |