| NPI | 1366753071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 84549) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: 84549) |
| Enumeration Date | 2010-06-28 |
| Last Update Date | 2023-07-27 |