| NPI | 1568839645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 134277) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 118165) |
| Enumeration Date | 2015-08-25 |
| Last Update Date | 2023-04-20 |