| NPI | 1134881642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 140802) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 101648) |
| Enumeration Date | 2021-10-12 |
| Last Update Date | 2023-08-09 |