| NPI | 1720466808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 104981) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 82090) |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2020-02-19 |