| NPI | 1730310640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 50964) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 60589) |
| Enumeration Date | 2009-07-27 |
| Last Update Date | 2019-02-22 |