| NPI | 1134810815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 150981) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 137754) |
| Enumeration Date | 2023-05-15 |
| Last Update Date | 2024-12-03 |