| NPI | 1386055341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 94555) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF 74268) |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2018-09-19 |