| NPI | 1861883308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 89622) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 70550) |
| Enumeration Date | 2015-02-05 |
| Last Update Date | 2015-10-29 |