| NPI | 1811355217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AZ 15867) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 113371) |
| Enumeration Date | 2016-02-01 |
| Last Update Date | 2024-08-01 |