| NPI | 1659740843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 112676) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF89224) |
| Enumeration Date | 2015-09-17 |
| Last Update Date | 2023-01-06 |