| NPI | 1720565112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 120985) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 106952) |
| Enumeration Date | 2018-07-27 |
| Last Update Date | 2020-08-17 |