| NPI | 1811415573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 126351) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 109266) |
| Enumeration Date | 2017-09-01 |
| Last Update Date | 2021-08-09 |