| NPI | 1679892608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 113001) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 71699) |
| Enumeration Date | 2010-06-01 |
| Last Update Date | 2019-05-01 |