| NPI | 1629643002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 143294) |
| Enumeration Date | 2021-05-26 |
| Last Update Date | 2023-12-06 |