| NPI | 1265180335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: 137699) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 118502) |
| Enumeration Date | 2022-03-16 |
| Last Update Date | 2023-02-17 |