| NPI | 1700161460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 86041) |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2011-10-13 |
| Last Update Date | 2017-02-16 |