| NPI | 1245607134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 112040) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 88594) |
| Enumeration Date | 2015-08-26 |
| Last Update Date | 2020-09-14 |