| NPI | 1669833885 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT112156)  | 
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF91956)  | 
| Enumeration Date | 2016-03-15 | 
| Last Update Date | 2019-04-10 |