| NPI | 1639533458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 120227) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 102174) |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2020-07-28 |