| NPI | 1003272014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 99762) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF78760) |
| Enumeration Date | 2016-01-06 |
| Last Update Date | 2021-10-04 |