| NPI | 1265079180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 132628) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 111869) |
| Enumeration Date | 2019-12-10 |
| Last Update Date | 2022-06-13 |