| NPI | 1255988754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 154170) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 123410) |
| Enumeration Date | 2019-08-20 |
| Last Update Date | 2025-03-26 |