| NPI | 1770840746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 103573) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF68997) |
| Enumeration Date | 2012-04-16 |
| Last Update Date | 2018-07-05 |