| NPI | 1790917201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 104761) |
| Enumeration Date | 2009-08-17 |
| Last Update Date | 2018-06-06 |