| NPI | 1801139365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 131097) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 97665) |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2025-03-28 |