| NPI | 1457718629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 122100) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 105235) |
| Enumeration Date | 2016-01-19 |
| Last Update Date | 2020-10-22 |