| NPI | 1639283617 |
|---|---|
| Former Name | SUSAN RAE RYAVE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFT31659) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 106H00000X Marriage & Family Therapist (Licence: CA MFC31659) | |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2021-05-17 |