| NPI | 1336880053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 129916) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: CA 129916) |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2022-08-08 |