| NPI | 1184136871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 124164) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF101864) |
| Enumeration Date | 2017-11-02 |
| Last Update Date | 2021-04-09 |