| NPI | 1225553589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 115409) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 98345) |
| Enumeration Date | 2017-08-08 |
| Last Update Date | 2022-07-25 |