| NPI | 1669844767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 106712) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 89492) |
| Enumeration Date | 2015-10-28 |
| Last Update Date | 2023-12-29 |