| NPI | 1770171837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 151874) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 133871) |
| Enumeration Date | 2021-01-05 |
| Last Update Date | 2025-03-13 |