| NPI | 1134415342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 119577) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 93934) |
| Enumeration Date | 2011-06-26 |
| Last Update Date | 2023-07-17 |