| NPI | 1124152723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 53801) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 55642) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2022-04-30 |