| NPI | 1336571546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 101422) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 74185) |
| Enumeration Date | 2013-07-30 |
| Last Update Date | 2017-12-01 |