| NPI | 1699021154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 115078) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 73910) |
| Enumeration Date | 2012-08-01 |
| Last Update Date | 2019-09-25 |