| NPI | 1649822214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 145002) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 105182) |
| Enumeration Date | 2019-07-12 |
| Last Update Date | 2024-03-05 |