| NPI | 1962887430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 105547) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF85333) |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2018-04-18 |