| NPI | 1124542592 |
|---|---|
| Other Name | NA NA NA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 132410) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 92709) |
| Enumeration Date | 2017-07-27 |
| Last Update Date | 2025-05-02 |