| NPI | 1124432125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 122547) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 91839) |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2021-10-28 |