| NPI | 1922471168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 107948) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF89230) |
| Enumeration Date | 2015-11-10 |
| Last Update Date | 2022-05-02 |