| NPI | 1891861985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 53436) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CT 003517) |
| 106H00000X Marriage & Family Therapist (Licence: CO 0002755) | |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2024-12-03 |