| NPI | 1508091539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 50940) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 57724) |
| Enumeration Date | 2009-05-19 |
| Last Update Date | 2021-12-30 |