| NPI | 1699893602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 52673) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 62054) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2021-04-01 |