| NPI | 1932364171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 133294) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 107786) |
| Enumeration Date | 2008-07-28 |
| Last Update Date | 2023-07-26 |