| NPI | 1316487119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 139230) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KY 259918) |
| Enumeration Date | 2017-02-28 |
| Last Update Date | 2023-08-28 |