| NPI | 1821505546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 122798) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF98671) |
| 106H00000X Marriage & Family Therapist (Licence: CA AMFT98671) | |
| Enumeration Date | 2018-01-03 |
| Last Update Date | 2021-05-07 |