| NPI | 1023625761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 139927) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 121683) |
| Enumeration Date | 2020-09-27 |
| Last Update Date | 2023-06-16 |