| NPI | 1962882993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 120976) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF83539) |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2023-10-11 |