| NPI | 1942703046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 123500) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 103528) |
| Enumeration Date | 2018-03-14 |
| Last Update Date | 2021-01-27 |