| NPI | 1053829473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 128268) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 103114) |
| Enumeration Date | 2018-01-19 |
| Last Update Date | 2021-09-29 |