| NPI | 1154836831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 122664) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF102550) |
| Enumeration Date | 2017-12-04 |
| Last Update Date | 2020-10-27 |