| NPI | 1548579055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT127065) |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic |
| Enumeration Date | 2010-09-30 |
| Last Update Date | 2021-10-12 |