| NPI | 1841539947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 91176) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 73791) |
| Enumeration Date | 2013-02-08 |
| Last Update Date | 2016-08-09 |