| NPI | 1003318023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 133530) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 78768) |
| 106H00000X Marriage & Family Therapist (Licence: CA 117266) | |
| Enumeration Date | 2018-03-06 |
| Last Update Date | 2022-07-06 |