| NPI | 1437796778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 116568) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MD LCM789) |
| Enumeration Date | 2019-12-05 |
| Last Update Date | 2020-10-16 |