| NPI | 1679717920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 132567) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 132567) |
| Enumeration Date | 2009-04-29 |
| Last Update Date | 2023-11-09 |