| NPI | 1205203668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 133425) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 100921) |
| Enumeration Date | 2015-09-01 |
| Last Update Date | 2022-07-07 |