| NPI | 1053018937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL 3755) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 40496) |
| Enumeration Date | 2023-02-13 |
| Last Update Date | 2023-02-13 |