| NPI | 1356786297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 115850) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 66709) |
| Enumeration Date | 2013-05-06 |
| Last Update Date | 2021-05-04 |