| NPI | 1205134707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 103912) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF 62708) |
| Enumeration Date | 2011-03-07 |
| Last Update Date | 2022-01-03 |