| NPI | 1497214068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 132875) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 104195) |
| Enumeration Date | 2019-03-13 |
| Last Update Date | 2022-08-31 |