| NPI | 1437528213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 111509) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 93531) |
| Enumeration Date | 2015-09-22 |
| Last Update Date | 2019-03-06 |