| NPI | 1255856159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 120492) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NV 4496-R) |
| Enumeration Date | 2017-08-11 |
| Last Update Date | 2024-07-11 |