| NPI | 1073010278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 127937) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 113577) |
| Enumeration Date | 2018-04-12 |
| Last Update Date | 2022-10-04 |