| NPI | 1609304344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 115885) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF83071) |
| Enumeration Date | 2017-05-25 |
| Last Update Date | 2020-09-10 |