| NPI | 1871262527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 153137) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 126660) |
| Enumeration Date | 2021-09-07 |
| Last Update Date | 2025-02-12 |