| NPI | 1770004103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 112223) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF99980) |
| Enumeration Date | 2017-07-07 |
| Last Update Date | 2019-03-14 |