| NPI | 1366878522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 137255) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 102027) |
| Enumeration Date | 2013-09-19 |
| Last Update Date | 2023-01-25 |