| NPI | 1972008993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 124064) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 117319) |
| Enumeration Date | 2018-03-30 |
| Last Update Date | 2021-02-09 |