| NPI | 1811366065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 122851) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 128538) |
| Enumeration Date | 2015-09-17 |
| Last Update Date | 2022-05-28 |