| NPI | 1093090011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 96488) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 68973) |
| Enumeration Date | 2011-10-21 |
| Last Update Date | 2016-12-09 |