| NPI | 1679832760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 100104) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF 75411) |
| Enumeration Date | 2012-05-09 |
| Last Update Date | 2017-12-16 |