| NPI | 1366880312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 85172) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF 71638) |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2017-03-27 |