| NPI | 1396280079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 42098) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: VA 0717001409) |
| Enumeration Date | 2017-01-04 |
| Last Update Date | 2017-01-04 |