| NPI | 1386021814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 114769) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA imf76168) |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2020-02-06 |