| NPI | 1215433016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 120628) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 104459) |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2022-09-13 |