| NPI | 1609201862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT105596) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2013-09-06 |
| Last Update Date | 2018-04-11 |