| NPI | 1184858227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 99231) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 64152) |
| Enumeration Date | 2009-05-04 |
| Last Update Date | 2022-07-21 |