| NPI | 1023176583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 110770) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 105139) |
| 106H00000X Marriage & Family Therapist (Licence: BBS # IMF69741) | |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2020-01-13 |