| NPI | 1548823024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 129845) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT105728) |
| Enumeration Date | 2019-04-19 |
| Last Update Date | 2022-09-21 |