| NPI | 1114476959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 107489) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 94229) |
| Enumeration Date | 2016-09-21 |
| Last Update Date | 2019-01-22 |