| NPI | 1558611376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 100356) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 70325) |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2022-08-23 |