| NPI | 1326422049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 104415) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF87363) |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2021-06-10 |