| NPI | 1609023399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 49742LMFT) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF 55483) |
| Enumeration Date | 2008-08-25 |
| Last Update Date | 2019-10-15 |