| NPI | 1578897724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 90550) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 65084) |
| Enumeration Date | 2009-09-21 |
| Last Update Date | 2018-03-21 |