| NPI | 1689268831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 133178) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 121467) |
| Enumeration Date | 2021-02-26 |
| Last Update Date | 2022-09-23 |