| NPI | 1801136411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 87071) |
| Enumeration Date | 2013-02-18 |
| Last Update Date | 2019-04-25 |