| NPI | 1811250277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 107877) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFT-I69323) |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2021-03-31 |