| NPI | 1225493448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 111547) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 90160) |
| Enumeration Date | 2015-12-16 |
| Last Update Date | 2022-02-03 |