| NPI | 1437499654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 92435) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 71635) |
| Enumeration Date | 2013-02-25 |
| Last Update Date | 2021-06-09 |