| NPI | 1013665579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 130194) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 115976) |
| 106H00000X Marriage & Family Therapist (Licence: CA AMFT130194) | |
| Enumeration Date | 2022-03-14 |
| Last Update Date | 2022-03-14 |