| NPI | 1619292554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFTI 60072) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 36544) |
| Enumeration Date | 2010-04-04 |
| Last Update Date | 2010-04-04 |