| NPI | 1316204225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 111472) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA imf69129) |
| Enumeration Date | 2012-04-16 |
| Last Update Date | 2024-11-01 |