| NPI | 1700036985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 132363) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 62584) |
| Enumeration Date | 2008-09-24 |
| Last Update Date | 2022-04-21 |