| NPI | 1790061299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT 94701) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF75265) |
| Enumeration Date | 2011-10-27 |
| Last Update Date | 2016-08-17 |