| NPI | 1710058201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 51794) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF 44474) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2017-03-27 |