| NPI | 1063557908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 83182) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NV 01433) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2022-02-01 |