| NPI | 1881768380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 43738) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA 43738) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2024-12-05 |