| NPI | 1124425558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 107830) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF 88073) |
| Enumeration Date | 2014-12-01 |
| Last Update Date | 2019-06-07 |