| NPI | 1184105728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 122865) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 104810) |
| Enumeration Date | 2018-08-22 |
| Last Update Date | 2025-04-25 |