| NPI | 1285063438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 105440) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 76356) |
| Enumeration Date | 2013-11-08 |
| Last Update Date | 2019-02-26 |