| NPI | 1588735229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 95565) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 46951) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2021-01-28 |