| NPI | 1902190374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT89898) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 64972) |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2019-12-16 |