| NPI | 1487900221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 98258) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 76021) |
| Enumeration Date | 2012-07-31 |
| Last Update Date | 2019-04-26 |