| NPI | 1821616103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 137292) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 121067) |
| Enumeration Date | 2020-07-13 |
| Last Update Date | 2023-04-25 |