| NPI | 1982139820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 121662) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 98229) |
| Enumeration Date | 2017-04-28 |
| Last Update Date | 2021-03-01 |