| NPI | 1629406897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 50138) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA LMFT50138) |
| Enumeration Date | 2013-10-24 |
| Last Update Date | 2018-09-18 |