| NPI | 1023516390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 151217) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT114233) |
| Enumeration Date | 2018-01-31 |
| Last Update Date | 2025-01-27 |