| NPI | 1871968107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 113711) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF89561) |
| Enumeration Date | 2015-12-11 |
| Last Update Date | 2021-11-12 |