| NPI | 1689083131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT 97006) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF79377) |
| Enumeration Date | 2014-08-08 |
| Last Update Date | 2020-11-03 |