| NPI | 1770986390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 93361) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 79820) |
| Enumeration Date | 2014-09-28 |
| Last Update Date | 2016-08-17 |