| NPI | 1023453370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 120774) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 82039) |
| Enumeration Date | 2013-04-30 |
| Last Update Date | 2020-08-24 |