| NPI | 1265814909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 177557) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 83899) |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2018-07-09 |