| NPI | 1578961744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 96229) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC #96229) |
| Enumeration Date | 2014-12-19 |
| Last Update Date | 2019-01-17 |