| NPI | 1114111895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 108293) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF#52228) |
| Enumeration Date | 2007-09-05 |
| Last Update Date | 2018-09-20 |