| NPI | 1346779121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 124368) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 109286) |
| Enumeration Date | 2017-06-06 |
| Last Update Date | 2023-01-10 |