| NPI | 1043342173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 121240) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 83853) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2021-06-06 |