| NPI | 1821551227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 143224) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 109317) |
| Enumeration Date | 2019-04-11 |
| Last Update Date | 2024-02-26 |