| NPI | 1679940977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 121812) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 98340) |
| Enumeration Date | 2015-08-21 |
| Last Update Date | 2020-09-29 |