| NPI | 1841780459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 146849) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 115328) |
| Enumeration Date | 2018-05-18 |
| Last Update Date | 2024-07-19 |