| NPI | 1760810691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 86299) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 73224) |
| Enumeration Date | 2013-11-01 |
| Last Update Date | 2015-07-17 |