| NPI | 1720601446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 135166) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 116541) |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2020-05-28 |
| Last Update Date | 2023-07-03 |