| NPI | 1659405785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 46527) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 45647) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2018-08-01 |