| NPI | 1750768933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 104388) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF84164) |
| Enumeration Date | 2015-04-27 |
| Last Update Date | 2021-09-08 |