| NPI | 1104337831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 122461) |
| Additional Taxonomies | 103TF0000X Psychologist, Family (Licence: CA 122461) |
| Enumeration Date | 2017-10-20 |
| Last Update Date | 2022-01-27 |