| NPI | 1407387103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 110935) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: 106H00000X) |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2020-12-11 |