| NPI | 1326598004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 120129) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF95254) |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2020-08-07 |