| NPI | 1538501598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 112756) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 69922) |
| Enumeration Date | 2013-07-19 |
| Last Update Date | 2019-05-15 |