| NPI | 1952075145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 143258) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 126740) |
| Enumeration Date | 2021-08-03 |
| Last Update Date | 2024-05-29 |