| NPI | 1568523710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 42769) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC42769) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2021-03-01 |