| NPI | 1932556545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 139404) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 120785) |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2024-07-11 |