| NPI | 1093255374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 132822) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF96791) |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2022-11-30 |