| NPI | 1417292939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 90485) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF 72066) |
| Enumeration Date | 2012-12-10 |
| Last Update Date | 2021-11-16 |