| NPI | 1275000978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: ID 8352) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 110172) |
| Enumeration Date | 2018-10-31 |
| Last Update Date | 2022-01-12 |