| NPI | 1265593925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 47382) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 45571) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2024-06-04 |