| NPI | 1588981369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 120849) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 85495) |
| Enumeration Date | 2010-05-03 |
| Last Update Date | 2020-08-13 |