| NPI | 1659687770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 96683) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF74659) |
| Enumeration Date | 2010-08-26 |
| Last Update Date | 2016-11-10 |