| NPI | 1326581455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 112860) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 82062) |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2023-10-23 |