| NPI | 1508303389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 116157) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 80549) |
| Enumeration Date | 2017-01-31 |
| Last Update Date | 2020-04-15 |