| NPI | 1609146570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 85722) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 69319) |
| Enumeration Date | 2012-01-09 |
| Last Update Date | 2015-09-15 |