| NPI | 1891950564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 135741) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 90806) |
| 106H00000X Marriage & Family Therapist (Licence: CA 130362) | |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2023-08-05 |