| NPI | 1750932414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 153519) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: VA 0717002396) |
| Enumeration Date | 2019-09-24 |
| Last Update Date | 2025-04-15 |