| NPI | 1508265349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 111514) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF81306) |
| Enumeration Date | 2014-08-18 |
| Last Update Date | 2019-02-15 |