| NPI | 1134627284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 133347) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 118080) |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2022-09-01 |