| NPI | 1932396793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 77368) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFI56909) |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2018-08-23 |