| NPI | 1144622101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 125698) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 89777) |
| Enumeration Date | 2014-09-22 |
| Last Update Date | 2021-05-24 |