| NPI | 1679992473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT41639) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC41639) |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2019-02-12 |