| NPI | 1720274525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 84807) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 54795) |
| Enumeration Date | 2007-09-14 |
| Last Update Date | 2017-03-09 |