| NPI | 1376976266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 105439) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 83115) |
| Enumeration Date | 2013-08-14 |
| Last Update Date | 2018-05-10 |