| NPI | 1427505759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 102618) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF 79870) |
| Enumeration Date | 2016-09-02 |
| Last Update Date | 2018-03-17 |