| NPI | 1962037911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 144329) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 115810) |
| Enumeration Date | 2020-03-10 |
| Last Update Date | 2024-04-12 |