| NPI | 1225378961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 94349) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF 83873) |
| Enumeration Date | 2013-02-16 |
| Last Update Date | 2021-12-09 |