| NPI | 1871980706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 104813) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF83414) |
| Enumeration Date | 2015-04-17 |
| Last Update Date | 2018-02-27 |