| NPI | 1578762001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 53444) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 59825) |
| Enumeration Date | 2007-07-14 |
| Last Update Date | 2018-03-05 |