| NPI | 1770953119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 89063) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NY 001854) |
| Enumeration Date | 2015-09-28 |
| Last Update Date | 2023-08-16 |