| NPI | 1669740544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 106088) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 66891) |
| Enumeration Date | 2011-12-07 |
| Last Update Date | 2019-07-29 |