| NPI | 1649985508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 137738) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 125171) |
| Enumeration Date | 2023-01-16 |
| Last Update Date | 2023-02-10 |