| NPI | 1396144747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 100481) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 78813) |
| Enumeration Date | 2014-08-21 |
| Last Update Date | 2020-11-05 |