| NPI | 1447506878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 85859) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 66111) |
| Enumeration Date | 2012-08-03 |
| Last Update Date | 2016-01-15 |