| NPI | 1790111441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MO 2018027934) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 75913) |
| Enumeration Date | 2013-09-25 |
| Last Update Date | 2023-06-06 |