| NPI | 1255524815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 90791) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 44736) |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2020-10-07 |