| NPI | 1326477522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 109184) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 77187) |
| Enumeration Date | 2013-11-07 |
| Last Update Date | 2019-01-30 |