| NPI | 1942651278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 118628) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF101941) |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2022-03-17 |