| NPI | 1508256884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 105643) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 81819) |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2018-04-06 |