| NPI | 1790206902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 136066) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 103858) |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2022-12-01 |