| NPI | 1083182935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 128822) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 99942) |
| Enumeration Date | 2018-11-08 |
| Last Update Date | 2021-10-28 |