| NPI | 1568825073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 112649) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NV 4425-R) |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2024-07-23 |