| NPI | 1982129912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 145510) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 140977) |
| Enumeration Date | 2017-08-10 |
| Last Update Date | 2024-03-18 |