| NPI | 1164804514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 130222) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT123524) |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2024-05-13 |