| NPI | 1487706420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 45712) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 42088) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2023-05-12 |