| NPI | 1710245139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 125875) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF91591) |
| 106H00000X Marriage & Family Therapist (Licence: CA IMF 62546) | |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2023-12-05 |