| NPI | 1710446422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 131438) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 99068) |
| Enumeration Date | 2019-03-13 |
| Last Update Date | 2022-09-05 |