| NPI | 1619302189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT101315) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF75671) |
| Enumeration Date | 2013-09-03 |
| Last Update Date | 2018-09-20 |