| NPI | 1184290793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 132032) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 118844) |
| Enumeration Date | 2021-06-03 |
| Last Update Date | 2022-11-22 |