| NPI | 1841652104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC112059) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF91775) |
| Enumeration Date | 2016-03-25 |
| Last Update Date | 2019-06-17 |