| NPI | 1780741546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 47914) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 50724) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2018-07-17 |