| NPI | 1639110414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 113268) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA 5374550001) |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2021-02-18 |