| NPI | 1598207656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 106030) |
| Additional Taxonomies | 251S00000X (Licence: CA 770213467) |
| Enumeration Date | 2016-11-07 |
| Last Update Date | 2019-05-16 |