| NPI | 1790935310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 87430) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF82323) |
| Enumeration Date | 2008-09-19 |
| Last Update Date | 2018-06-20 |