| NPI | 1831386150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 110050) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF72751) |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2022-11-03 |