| NPI | 1356772545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 96016) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFTI#75414) |
| Enumeration Date | 2013-12-12 |
| Last Update Date | 2020-10-01 |