| NPI | 1417381039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 98511) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF74452) |
| Enumeration Date | 2013-08-30 |
| Last Update Date | 2018-07-26 |