| NPI | 1689082760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 113917) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 71596) |
| Enumeration Date | 2014-08-01 |
| Last Update Date | 2024-09-24 |