| NPI | 1811034937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA MFT34858) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC34858) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2019-04-03 |