| NPI | 1871731844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 78980) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 57930) |
| Enumeration Date | 2009-01-29 |
| Last Update Date | 2018-02-28 |