| NPI | 1609430701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 134324) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WI 2215-124) |
| Enumeration Date | 2019-04-24 |
| Last Update Date | 2025-02-04 |