| NPI | 1609167964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFT32859) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC32859) |
| Enumeration Date | 2011-04-20 |
| Last Update Date | 2018-06-07 |