| NPI | 1932450186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 138673) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF79714) |
| Enumeration Date | 2012-09-27 |
| Last Update Date | 2023-09-01 |