| NPI | 1336345289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 53668) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 77530) |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2016-01-20 |