| NPI | 1902228000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 112423) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 75781) |
| Enumeration Date | 2014-01-09 |
| Last Update Date | 2019-04-01 |