| NPI | 1528491883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 125977) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 87463) |
| Enumeration Date | 2013-08-09 |
| Last Update Date | 2021-05-18 |