| NPI | 1760723142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 93600) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 70014) |
| Enumeration Date | 2013-03-08 |
| Last Update Date | 2019-10-20 |