| NPI | 1669922795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 128107) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT104268) |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2024-09-03 |