| NPI | 1750757365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 103934) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 88442) |
| Enumeration Date | 2015-08-18 |
| Last Update Date | 2018-11-05 |