| NPI | 1639772429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 138881) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 122406) |
| Enumeration Date | 2020-11-16 |
| Last Update Date | 2023-03-30 |