| NPI | 1801110465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 54040) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 62260) |
| Enumeration Date | 2010-03-24 |
| Last Update Date | 2016-08-15 |