| NPI | 1104163443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 88199) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 64573) |
| Enumeration Date | 2013-01-07 |
| Last Update Date | 2016-03-03 |