| NPI | 1265102107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 143839) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 119768) |
| Enumeration Date | 2021-09-13 |
| Last Update Date | 2024-01-03 |