| NPI | 1548270655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT36663) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC36663) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2019-01-27 |