| NPI | 1841703204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 125945) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 89933) |
| Enumeration Date | 2017-11-08 |
| Last Update Date | 2021-05-28 |