| NPI | 1932501103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 113636) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF73009) |
| Enumeration Date | 2014-09-19 |
| Last Update Date | 2023-03-27 |