| NPI | 1942575360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 110312) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF67150) |
| Enumeration Date | 2012-03-19 |
| Last Update Date | 2019-11-19 |