| NPI | 1841756350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 119891) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 109738) |
| Enumeration Date | 2019-02-20 |
| Last Update Date | 2021-04-29 |