| NPI | 1720625619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 136744) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 111758) |
| Enumeration Date | 2019-12-10 |
| Last Update Date | 2023-03-01 |