| NPI | 1679897425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 106160) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF 82124) |
| Enumeration Date | 2010-03-23 |
| Last Update Date | 2019-04-14 |