| NPI | 1881172070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 114566) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT95510) |
| 106H00000X Marriage & Family Therapist (Licence: CA MFT114566) | |
| Enumeration Date | 2018-07-31 |
| Last Update Date | 2019-07-25 |