| NPI | 1225220007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 107650) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 61762) |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2023-03-01 |