| NPI | 1295868370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 47015) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF 44110) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2019-07-05 |