| NPI | 1912221573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 82202) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFT Intern IMF 68530) |
| Enumeration Date | 2010-03-24 |
| Last Update Date | 2017-04-10 |