| NPI | 1588367304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: 150807) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 131599) |
| Enumeration Date | 2023-03-22 |
| Last Update Date | 2024-11-01 |