| NPI | 1487883393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 41927) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA 41927) |
| Enumeration Date | 2009-07-13 |
| Last Update Date | 2021-04-01 |