| NPI | 1023215647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFT51747) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF 43992) |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2021-02-22 |