| NPI | 1184049355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 111390) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA 84647) |
| Enumeration Date | 2014-02-25 |
| Last Update Date | 2023-10-26 |