| NPI | 1881121242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 114604) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 93877) |
| Enumeration Date | 2017-05-16 |
| Last Update Date | 2024-05-23 |