| NPI | 1952950230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 129151) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 114007) |
| Enumeration Date | 2019-09-09 |
| Last Update Date | 2022-06-21 |