| NPI | 1033773486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 118561) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT78137) |
| Enumeration Date | 2019-04-30 |
| Last Update Date | 2020-10-19 |