| NPI | 1841977246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 139854) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT139854) |
| Enumeration Date | 2023-06-28 |
| Last Update Date | 2024-09-10 |