| NPI | 1659757060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 104403) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 87564) |
| Enumeration Date | 2015-08-07 |
| Last Update Date | 2020-07-03 |