| NPI | 1952618613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 79294) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA (04) 225400000X) |
| Enumeration Date | 2010-09-01 |
| Last Update Date | 2023-01-23 |