| NPI | 1013213230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 97853) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 67715) |
| Enumeration Date | 2011-02-05 |
| Last Update Date | 2018-09-20 |