| NPI | 1861542912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 40418) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2017-07-25 |