| NPI | 1689933590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 112006) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: 75701) |
| Enumeration Date | 2012-05-11 |
| Last Update Date | 2021-03-01 |