| NPI | 1548429533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 51174) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OR T0911) |
| Enumeration Date | 2008-06-04 |
| Last Update Date | 2019-03-04 |