| NPI | 1710518642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT113521) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 132577) |
| Enumeration Date | 2020-01-29 |
| Last Update Date | 2022-06-22 |