| NPI | 1922492719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 126778) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF82852) |
| Enumeration Date | 2015-03-19 |
| Last Update Date | 2025-03-04 |