| NPI | 1275935983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 100193) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF82357) |
| Enumeration Date | 2014-09-24 |
| Last Update Date | 2018-03-17 |