| NPI | 1639628944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 100110) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF81893) |
| Enumeration Date | 2016-09-27 |
| Last Update Date | 2022-01-09 |