| NPI | 1831614866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 130363) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 108812) |
| Enumeration Date | 2017-08-10 |
| Last Update Date | 2022-10-31 |