| NPI | 1851493142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 50858) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFT-Intern 51033) |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2014-11-27 |