| NPI | 1649406406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 93999) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 76363) |
| Enumeration Date | 2009-06-08 |
| Last Update Date | 2021-05-13 |