| NPI | 1770093494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 136858) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 102456) |
| Enumeration Date | 2017-10-08 |
| Last Update Date | 2023-06-06 |