| NPI | 1649801416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 132088) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NV 4477-R) |
| Enumeration Date | 2020-01-30 |
| Last Update Date | 2023-12-07 |