| NPI | 1134264583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFT 91071) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IMF 45626) |
| 106H00000X Marriage & Family Therapist (Licence: CA IMF63505) | |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2016-10-26 |