| NPI | 1629845490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 141393) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IA 124688) |
| Enumeration Date | 2023-12-11 |
| Last Update Date | 2024-03-19 |