| NPI | 1851608012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 49831) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFTI# 59458) |
| Enumeration Date | 2010-09-09 |
| Last Update Date | 2022-05-26 |