| NPI | 1578998027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 92096) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 83720) |
| Enumeration Date | 2013-09-03 |
| Last Update Date | 2022-11-20 |