| NPI | 1376794628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 120453) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 99048) |
| Enumeration Date | 2008-10-06 |
| Last Update Date | 2020-09-30 |