| NPI | 1114211760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 91309) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 66617) |
| Enumeration Date | 2011-05-31 |
| Last Update Date | 2016-03-16 |