| NPI | 1043624893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 106540) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF 85098) |
| Enumeration Date | 2014-06-19 |
| Last Update Date | 2024-05-10 |