| NPI | 1265633200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 141765) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 73562) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2023-10-05 |