| NPI | 1629462718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFTI79653) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 102949) |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2020-09-19 |