| NPI | 1588925507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 114812) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF76161) |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2021-09-08 |