| NPI | 1770093577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 117201) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF954436) |
| Enumeration Date | 2017-10-05 |
| Last Update Date | 2021-10-20 |