| NPI | 1215499611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 130146) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 110144) |
| Enumeration Date | 2019-04-03 |
| Last Update Date | 2021-12-22 |