| NPI | 1790163855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: ID LAMFT-7330) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 69100) |
| Enumeration Date | 2015-05-09 |
| Last Update Date | 2019-10-14 |