| NPI | 1164889333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 82620) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 111647) |
| Enumeration Date | 2016-01-19 |
| Last Update Date | 2019-02-14 |