| NPI | 1487961884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 88858) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 52276) |
| Enumeration Date | 2010-09-07 |
| Last Update Date | 2020-12-14 |