| NPI | 1437464179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 91065) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 58709) |
| Enumeration Date | 2010-08-17 |
| Last Update Date | 2020-08-17 |