| NPI | 1437425865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 126672) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 68968) |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2022-11-02 |