| NPI | 1316345762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 110700) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF81580) |
| Enumeration Date | 2014-12-17 |
| Last Update Date | 2020-08-16 |