| NPI | 1992117840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT99023) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF79431) |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2019-03-21 |