| NPI | 1962915702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 136044) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 97581) |
| Enumeration Date | 2017-11-15 |
| Last Update Date | 2022-12-12 |