| NPI | 1275017436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT119629) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 98205) |
| Enumeration Date | 2018-09-23 |
| Last Update Date | 2020-10-19 |