| NPI | 1255777132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 117164) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF79193) |
| Enumeration Date | 2013-05-17 |
| Last Update Date | 2020-01-07 |