| NPI | 1871903237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 135361) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 96104) |
| Enumeration Date | 2014-05-06 |
| Last Update Date | 2022-11-09 |