| NPI | 1760686265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 90998) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 67928) |
| 106H00000X Marriage & Family Therapist (Licence: CA 49274) | |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2021-06-22 |