| NPI | 1982027959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 116067) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF83333) |
| Enumeration Date | 2014-01-28 |
| Last Update Date | 2021-02-01 |