| NPI | 1669927828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 13455) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF89400) |
| Enumeration Date | 2016-08-17 |
| Last Update Date | 2024-08-13 |