| NPI | 1346608551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 109528) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF90513) |
| Enumeration Date | 2016-02-02 |
| Last Update Date | 2018-09-23 |