| NPI | 1164803326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 106593) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF63582) |
| 106H00000X Marriage & Family Therapist (Licence: CA IMF93023) | |
| Enumeration Date | 2015-06-13 |
| Last Update Date | 2022-01-27 |