| NPI | 1700396702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 124162) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 101122) |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2017-10-04 |
| Last Update Date | 2021-02-15 |