| NPI | 1477812790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 91242) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 77436) |
| Enumeration Date | 2012-05-07 |
| Last Update Date | 2019-03-09 |