| NPI | 1942455837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 96302) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CT 001294) |
| Enumeration Date | 2008-11-19 |
| Last Update Date | 2024-07-01 |