| NPI | 1932472123 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT146577) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 119735) |
| Enumeration Date | 2012-02-17 |
| Last Update Date | 2024-08-30 |