| NPI | 1821695685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 130860) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 120079) |
| Enumeration Date | 2020-10-05 |
| Last Update Date | 2022-02-01 |