| NPI | 1164946059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 127457) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF97377) |
| Enumeration Date | 2017-08-01 |
| Last Update Date | 2021-08-12 |