| NPI | 1114158664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 84343) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 60581) |
| Enumeration Date | 2009-07-31 |
| Last Update Date | 2021-09-20 |