| NPI | 1629429287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 111913) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 95554) |
| Enumeration Date | 2016-06-24 |
| Last Update Date | 2021-01-27 |