| NPI | 1609612118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 151207) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TN 2455) |
| Enumeration Date | 2024-07-03 |
| Last Update Date | 2025-02-25 |