| NPI | 1922751908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 153110) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 123056) |
| Enumeration Date | 2022-01-31 |
| Last Update Date | 2025-05-27 |