| NPI | 1619006046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 115476) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 93132) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2020-06-29 |