| NPI | 1790822294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT42255) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC42255) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2020-03-18 |