| NPI | 1598192254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT105851) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF75510) |
| Enumeration Date | 2013-09-26 |
| Last Update Date | 2018-05-11 |