| NPI | 1972720712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 40731) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFT40731) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2016-08-19 |