| NPI | 1568740975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 86218) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 67529) |
| Enumeration Date | 2011-08-02 |
| Last Update Date | 2015-04-14 |