| NPI | 1740695006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 108539) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 78762) |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2020-06-04 |