| NPI | 1164033031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 137732) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 118343) |
| Enumeration Date | 2020-08-13 |
| Last Update Date | 2023-02-27 |