| NPI | 1285942615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 106100) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 63652) |
| Enumeration Date | 2010-09-20 |
| Last Update Date | 2018-05-02 |