| NPI | 1174275309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 150240) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 130581) |
| Enumeration Date | 2022-01-19 |
| Last Update Date | 2024-10-08 |