| NPI | 1114301074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 154660) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 121578) |
| Enumeration Date | 2015-07-10 |
| Last Update Date | 2025-05-01 |