| NPI | 1023560315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 104658) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF85838) |
| Enumeration Date | 2016-11-02 |
| Last Update Date | 2018-04-16 |