| NPI | 1831503986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 121358) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 87566) |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2020-09-07 |