| NPI | 1063819266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 98441) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 72788) |
| Enumeration Date | 2014-12-03 |
| Last Update Date | 2023-11-13 |