| NPI | 1194090266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 84870) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF 68059) |
| Enumeration Date | 2012-03-21 |
| Last Update Date | 2020-04-29 |