| NPI | 1326306622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 105700) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 99359) |
| 106H00000X Marriage & Family Therapist (Licence: CA IMF66512) | |
| Enumeration Date | 2012-04-25 |
| Last Update Date | 2022-11-15 |