| NPI | 1164986006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 130705) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 111765) |
| Enumeration Date | 2019-01-24 |
| Last Update Date | 2022-03-08 |