| NPI | 1235477712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT90190) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFTI#73684) |
| Enumeration Date | 2013-01-17 |
| Last Update Date | 2017-10-16 |