| NPI | 1316304389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 111347) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF89322) |
| Enumeration Date | 2016-01-21 |
| Last Update Date | 2019-06-02 |