| NPI | 1780107391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 155219) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF79497) |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2025-06-07 |