| NPI | 1316092794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 85952) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 62724) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2023-05-09 |