| NPI | 1285968800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 51090) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF61313) |
| Enumeration Date | 2009-09-29 |
| Last Update Date | 2021-01-21 |