| NPI | 1235606385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 113967) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 99907) |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2018-10-26 |
| Last Update Date | 2019-09-11 |