| NPI | 1659563492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 36636) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL 1970) |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2018-11-20 |