| NPI | 1235497660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 112322) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA imf71847) |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2023-03-08 |