| NPI | 1124646021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 128505) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 117614) |
| Enumeration Date | 2020-07-08 |
| Last Update Date | 2021-10-08 |