| NPI | 1245859941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 135816) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 91221) |
| 106H00000X Marriage & Family Therapist (Licence: CA 130013) | |
| Enumeration Date | 2020-04-13 |
| Last Update Date | 2022-11-15 |