| NPI | 1982959110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 102329) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CO 70949) |
| Enumeration Date | 2012-07-13 |
| Last Update Date | 2023-06-29 |