| NPI | 1275895732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 119204) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 115058) |
| Enumeration Date | 2012-06-11 |
| Last Update Date | 2023-06-15 |