| NPI | 1669021937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 130610) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 114796) |
| Enumeration Date | 2019-09-09 |
| Last Update Date | 2022-03-11 |