| NPI | 1912426701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 122544) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 99525) |
| Enumeration Date | 2017-09-13 |
| Last Update Date | 2023-05-04 |