| NPI | 1710252432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 96709) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 66553) |
| Enumeration Date | 2012-03-13 |
| Last Update Date | 2022-06-20 |