| NPI | 1790013506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 107497) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF 74953) |
| Enumeration Date | 2009-12-07 |
| Last Update Date | 2018-07-25 |