| NPI | 1912555343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 130054) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 98414) |
| Enumeration Date | 2019-08-28 |
| Last Update Date | 2022-01-06 |