| NPI | 1447502042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 134474) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 70614) |
| Enumeration Date | 2012-10-05 |
| Last Update Date | 2022-10-31 |