| NPI | 1972736775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 96690) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF94251) |
| 106H00000X Marriage & Family Therapist (Licence: CA IMF 64224) | |
| Enumeration Date | 2009-08-26 |
| Last Update Date | 2023-08-17 |