| NPI | 1881844850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 108761) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 61825) |
| Enumeration Date | 2008-09-25 |
| Last Update Date | 2021-10-20 |