| NPI | 1124582150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 121682) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 108268) |
| Enumeration Date | 2019-01-23 |
| Last Update Date | 2020-09-11 |