| NPI | 1598014219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 98919) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 78467) |
| Enumeration Date | 2012-09-10 |
| Last Update Date | 2017-03-23 |