| NPI | 1023417383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 124480) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 114069) |
| Enumeration Date | 2014-08-21 |
| Last Update Date | 2021-03-25 |