| NPI | 1194287839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 136595) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 111870) |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2023-04-25 |