| NPI | 1649787490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 124308) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WI 2018-124) |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2018-01-02 |
| Last Update Date | 2024-05-03 |