| NPI | 1639458615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 90746) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF72378) |
| Enumeration Date | 2011-08-09 |
| Last Update Date | 2020-10-29 |