| NPI | 1871087973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 112845) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 94119) |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2019-10-15 |