| NPI | 1942853296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 131606) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 111939) |
| Enumeration Date | 2019-07-16 |
| Last Update Date | 2025-01-06 |