| NPI | 1568870962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 113595) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF79467) |
| 106H00000X Marriage & Family Therapist (Licence: CA AMFT79467) | |
| Enumeration Date | 2014-07-29 |
| Last Update Date | 2020-12-15 |