| NPI | 1891055125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 89695) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 61723) |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2017-03-13 |