| NPI | 1093212557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 131754) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 107603) |
| Enumeration Date | 2018-04-11 |
| Last Update Date | 2022-06-04 |