| NPI | 1528601499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 124563) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 108342) |
| Enumeration Date | 2019-10-23 |
| Last Update Date | 2023-12-14 |