| NPI | 1639424740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 89061) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 203729) |
| Enumeration Date | 2012-07-16 |
| Last Update Date | 2020-06-03 |