| NPI | 1770984437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 103946) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 76501) |
| Enumeration Date | 2014-09-11 |
| Last Update Date | 2018-07-11 |