| NPI | 1104366327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 97931) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 127052) |
| Enumeration Date | 2017-03-07 |
| Last Update Date | 2021-09-12 |