| NPI | 1265713309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 96724) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: 78053) |
| Enumeration Date | 2011-09-02 |
| Last Update Date | 2018-10-03 |