| NPI | 1013183763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 103771) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 81113) |
| Enumeration Date | 2008-05-02 |
| Last Update Date | 2021-01-12 |