| NPI | 1518333665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 111239) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF85543) |
| Enumeration Date | 2015-08-12 |
| Last Update Date | 2019-02-01 |