| NPI | 1770885782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 95920) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 95393) |
| Enumeration Date | 2010-11-23 |
| Last Update Date | 2016-10-18 |