| NPI | 1457902991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 131315) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 113545) |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2019-09-25 |
| Last Update Date | 2022-03-10 |