| NPI | 1699053991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 94662) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 73605) |
| Enumeration Date | 2011-08-03 |
| Last Update Date | 2016-09-11 |