| NPI | 1801447644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 128928) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 114958) |
| Enumeration Date | 2019-09-24 |
| Last Update Date | 2023-10-31 |