| NPI | 1003230053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 112838) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NV MI0499) |
| Enumeration Date | 2014-02-11 |
| Last Update Date | 2019-05-15 |