| NPI | 1295321099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 137140) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 95157) |
| Enumeration Date | 2020-12-15 |
| Last Update Date | 2024-12-12 |