| NPI | 1962832501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 107341) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 373762) |
| Enumeration Date | 2013-11-18 |
| Last Update Date | 2023-07-19 |