| NPI | 1659718146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 121421) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF81420) |
| Enumeration Date | 2013-05-24 |
| Last Update Date | 2020-09-09 |