| NPI | 1699140137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 112685) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 89853) |
| Enumeration Date | 2015-12-09 |
| Last Update Date | 2020-04-15 |