| NPI | 1346561305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 84808) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NY 000803-1) |
| Enumeration Date | 2010-06-14 |
| Last Update Date | 2015-02-09 |