| NPI | 1700472248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 128939) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF110199) |
| Enumeration Date | 2020-12-18 |
| Last Update Date | 2021-12-10 |