| NPI | 1568884286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 77387) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NY 000584) |
| Enumeration Date | 2014-01-15 |
| Last Update Date | 2014-01-15 |