| NPI | 1093103533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IN 35001968A) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 84501) |
| Enumeration Date | 2015-01-07 |
| Last Update Date | 2020-02-14 |