| NPI | 1477869105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 96399) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 69760) |
| Enumeration Date | 2010-08-18 |
| Last Update Date | 2018-06-20 |