| NPI | 1548438971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 52661) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 54254) |
| Enumeration Date | 2008-02-19 |
| Last Update Date | 2013-07-25 |