| NPI | 1164839023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 48145) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC 48145) |
| Enumeration Date | 2014-07-12 |
| Last Update Date | 2021-03-08 |