| NPI | 1932477502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 129876) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 119660) |
| Enumeration Date | 2011-12-09 |
| Last Update Date | 2022-01-11 |