| NPI | 1134712151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 151496) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT123249) |
| Enumeration Date | 2021-02-20 |
| Last Update Date | 2024-11-25 |