| NPI | 1770090748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 126087) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 153272) |
| Enumeration Date | 2017-12-29 |
| Last Update Date | 2021-06-22 |