| NPI | 1588068035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 102879) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 76181) |
| Enumeration Date | 2014-10-13 |
| Last Update Date | 2017-12-10 |