| NPI | 1396044053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 99700) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF66708) |
| Enumeration Date | 2011-03-21 |
| Last Update Date | 2024-06-21 |