| NPI | 1598103145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 89207) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF 78949) |
| Enumeration Date | 2013-06-05 |
| Last Update Date | 2016-06-30 |