| NPI | 1619003175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 44949) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF45744) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2016-01-13 |