| NPI | 1922584234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 126145) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 86734) |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2021-05-27 |