| NPI | 1104963495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 81858) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 43614) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2021-06-07 |