| NPI | 1295033504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 95512) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 66377) |
| Enumeration Date | 2011-03-10 |
| Last Update Date | 2019-06-21 |