| NPI | 1255991873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 149252) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 136232) |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2024-08-29 |