| NPI | 1972038669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 123164) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF98969) |
| Enumeration Date | 2017-05-01 |
| Last Update Date | 2020-12-21 |