| NPI | 1609025550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 52299) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF # 64139) |
| Enumeration Date | 2008-09-16 |
| Last Update Date | 2014-06-23 |