| NPI | 1811267842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 113112) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 67038) |
| Enumeration Date | 2012-01-06 |
| Last Update Date | 2019-06-11 |