| NPI | 1558741090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 108604) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF85306) |
| Enumeration Date | 2015-05-30 |
| Last Update Date | 2020-11-26 |