| NPI | 1982913976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 116432) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 71033) |
| Enumeration Date | 2010-09-24 |
| Last Update Date | 2020-02-20 |