| NPI | 1487148763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 119173) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 92267) |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2023-01-26 |