| NPI | 1750726105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 85706) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF 68929) |
| Enumeration Date | 2013-04-29 |
| Last Update Date | 2015-04-23 |