| NPI | 1316301849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 108140) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 86080) |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2021-11-12 |