| NPI | 1831379353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 85341) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: AZ 15354) |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2022-02-06 |