| NPI | 1215419700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 131380) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 87884) |
| Enumeration Date | 2018-08-31 |
| Last Update Date | 2024-08-16 |