| NPI | 1932408580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 89895) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF65333) |
| Enumeration Date | 2011-03-22 |
| Last Update Date | 2019-02-22 |