| NPI | 1780713677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 100779) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMFT69192) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2021-12-13 |