| NPI | 1356096200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 143130) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NV 4718-R) |
| Enumeration Date | 2022-02-18 |
| Last Update Date | 2024-07-18 |