| NPI | 1992045322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 93554) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 69419) |
| Enumeration Date | 2013-02-21 |
| Last Update Date | 2021-04-15 |