| NPI | 1770133639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 130858) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IA 127102) |
| Enumeration Date | 2019-09-12 |
| Last Update Date | 2025-01-15 |