| NPI | 1043795651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 134911) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 102116) |
| Enumeration Date | 2018-09-28 |
| Last Update Date | 2022-10-07 |