| NPI | 1548763956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 117140) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF94018) |
| Enumeration Date | 2018-03-12 |
| Last Update Date | 2020-08-20 |