| NPI | 1720213564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 53659) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2009-05-22 |
| Last Update Date | 2014-01-16 |