| NPI | 1679976781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 102501) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF81717) |
| Enumeration Date | 2014-10-02 |
| Last Update Date | 2018-03-17 |