| NPI | 1285912642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 126554) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 87893) |
| Enumeration Date | 2011-08-02 |
| Last Update Date | 2021-07-02 |