| NPI | 1710128277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 108611) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 81343) |
| Enumeration Date | 2009-03-13 |
| Last Update Date | 2021-04-07 |