| NPI | 1093235178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 151102) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 101670) |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2024-11-07 |