| NPI | 1568738862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 103951) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 63965) |
| Enumeration Date | 2012-03-30 |
| Last Update Date | 2019-01-31 |