| NPI | 1780046979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 104533) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF85672) |
| Enumeration Date | 2016-03-25 |
| Last Update Date | 2018-10-22 |