| NPI | 1730580291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 108741) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFTIntern 81142) |
| Enumeration Date | 2014-09-15 |
| Last Update Date | 2019-03-14 |