| NPI | 1790023828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 102663) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 70101) |
| Enumeration Date | 2013-01-24 |
| Last Update Date | 2019-12-16 |