| NPI | 1447959234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 148555) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT135083) |
| Enumeration Date | 2023-03-01 |
| Last Update Date | 2024-08-15 |