| NPI | 1619464187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 108721) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF89729) |
| Enumeration Date | 2018-04-19 |
| Last Update Date | 2022-11-19 |