| NPI | 1235773920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 129440) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 114515) |
| Enumeration Date | 2019-11-05 |
| Last Update Date | 2021-11-29 |