| NPI | 1114431012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 122540) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 106H00000X Marriage & Family Therapist (Licence: CA IMFE3706736) | |
| 106H00000X Marriage & Family Therapist (Licence: CA IMF100760) | |
| Enumeration Date | 2017-11-30 |
| Last Update Date | 2020-11-25 |