| NPI | 1144778580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 142536) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 100434) |
| Enumeration Date | 2016-09-14 |
| Last Update Date | 2024-01-29 |