| NPI | 1093202749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 125274) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 105475) |
| Enumeration Date | 2018-04-18 |
| Last Update Date | 2021-08-09 |