| NPI | 1447902770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 142796) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 128714) |
| Enumeration Date | 2022-01-18 |
| Last Update Date | 2024-06-27 |