| NPI | 1801343629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: ID LMFT-5453) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC 46203) |
| Enumeration Date | 2016-09-09 |
| Last Update Date | 2016-09-09 |