| NPI | 1336566678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT 89082) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFTI #72112) |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2015-10-09 |