| NPI | 1518411032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC 45402) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CO MFT 836) |
| Enumeration Date | 2016-08-12 |
| Last Update Date | 2016-08-12 |