| NPI | 1336438498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 85046) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL 2636) |
| Enumeration Date | 2011-03-29 |
| Last Update Date | 2015-02-10 |