| NPI | 1720459720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 106162) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 87722) |
| Enumeration Date | 2015-10-15 |
| Last Update Date | 2019-10-01 |