| NPI | 1912569609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 131566) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 112689) |
| Enumeration Date | 2019-07-02 |
| Last Update Date | 2022-04-14 |