| NPI | 1811231913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFT84404) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF71199) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2016-11-17 |