| NPI | 1588048995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT116058) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 116058) |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2021-04-09 |