| NPI | 1952529984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 48749) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 49095) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2022-10-18 |