| NPI | 1245956366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 143367) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CO 00002520) |
| Enumeration Date | 2022-10-19 |
| Last Update Date | 2024-06-19 |