| NPI | 1831552017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 110354) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 88908) |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2019-04-24 |