| NPI | 1285918771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 83311) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 65697) |
| Enumeration Date | 2011-10-03 |
| Last Update Date | 2018-05-19 |