| NPI | 1073844254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 100270) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF61550) |
| Enumeration Date | 2010-01-27 |
| Last Update Date | 2017-12-13 |