| NPI | 1467894006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 99435) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 75124) |
| Enumeration Date | 2013-07-24 |
| Last Update Date | 2017-05-06 |