| NPI | 1871755215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 48954) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 51979) |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2020-11-19 |