| NPI | 1356706808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA IMF89271) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 110259) |
| Enumeration Date | 2015-12-29 |
| Last Update Date | 2020-04-16 |