| NPI | 1245079276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 146823) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA 146823) |
| Enumeration Date | 2024-05-20 |
| Last Update Date | 2024-10-30 |