| NPI | 1992985154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 55585) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 100293) |
| Enumeration Date | 2007-11-05 |
| Last Update Date | 2022-12-08 |