| NPI | 1336344118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 110970) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 83618) |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2019-09-16 |