| NPI | 1578697587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 110484) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 74121) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2023-03-03 |