| NPI | 1437721297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 133100) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 122716) |
| Enumeration Date | 2021-07-12 |
| Last Update Date | 2022-06-16 |