| NPI | 1730494121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 83313) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF68515) |
| Enumeration Date | 2010-08-10 |
| Last Update Date | 2020-11-11 |