| NPI | 1801663984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 144565) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 116213) |
| Enumeration Date | 2023-12-07 |
| Last Update Date | 2024-03-01 |