| NPI | 1700388733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 123063) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 110105) |
| Enumeration Date | 2018-03-06 |
| Last Update Date | 2021-11-08 |