| NPI | 1083722060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 46111) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CO MFT-852) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2016-06-16 |