| NPI | 1740531284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 100694) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 71416) |
| Enumeration Date | 2012-09-24 |
| Last Update Date | 2018-07-09 |