| NPI | 1669808713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 125828) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT89147) |
| Enumeration Date | 2013-09-20 |
| Last Update Date | 2021-08-12 |