| NPI | 1326580374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 112927) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF94072) |
| Enumeration Date | 2016-11-08 |
| Last Update Date | 2022-03-07 |