| NPI | 1174082705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 125493) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT111296) |
| Enumeration Date | 2019-03-13 |
| Last Update Date | 2024-01-19 |