| NPI | 1528337763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 112057) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF 68796) |
| Enumeration Date | 2011-12-16 |
| Last Update Date | 2019-03-07 |