| NPI | 1518240530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 100491) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 83766) |
| Enumeration Date | 2011-09-26 |
| Last Update Date | 2017-09-09 |