| NPI | 1578802146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 83503) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: VA 0717002007) |
| Enumeration Date | 2013-02-02 |
| Last Update Date | 2024-12-08 |