| NPI | 1396197075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 116971) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 91437) |
| Enumeration Date | 2016-07-06 |
| Last Update Date | 2020-03-24 |