| NPI | 1982006409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT118210) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 101678) |
| Enumeration Date | 2014-09-17 |
| Last Update Date | 2020-09-17 |