| NPI | 1396041125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 89454) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 71914) |
| Enumeration Date | 2011-01-26 |
| Last Update Date | 2020-07-08 |