| NPI | 1104121342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 95098) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: VA 0717001507) |
| Enumeration Date | 2011-01-19 |
| Last Update Date | 2020-03-01 |