| NPI | 1972883809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 83608) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF 67251) |
| Enumeration Date | 2011-08-23 |
| Last Update Date | 2024-10-26 |