| NPI | 1831118538 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFT 25398)  | 
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFT25398)  | 
| Enumeration Date | 2006-07-19 | 
| Last Update Date | 2018-07-05 |