| NPI | 1487092540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT96527) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 116494) |
| Enumeration Date | 2013-06-11 |
| Last Update Date | 2019-08-01 |