| NPI | 1518322676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 106195) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 106195) |
| Enumeration Date | 2015-12-16 |
| Last Update Date | 2022-02-14 |