| NPI | 1275193674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 119548) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 109861) |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2024-11-22 |