| NPI | 1912277153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC89466) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF64492) |
| Enumeration Date | 2012-01-05 |
| Last Update Date | 2015-11-06 |