| NPI | 1225320229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 93586) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 72479) |
| Enumeration Date | 2011-05-09 |
| Last Update Date | 2020-04-15 |