| NPI | 1083965131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 104137) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 91852) |
| Enumeration Date | 2012-09-28 |
| Last Update Date | 2018-01-22 |