| NPI | 1649747619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 126942) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 98319) |
| Enumeration Date | 2018-10-29 |
| Last Update Date | 2023-07-03 |