| NPI | 1477097103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 121870) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 96055) |
| Enumeration Date | 2016-12-15 |
| Last Update Date | 2021-09-01 |