| NPI | 1003200841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 120688) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 85453) |
| Enumeration Date | 2015-03-18 |
| Last Update Date | 2021-09-30 |