| NPI | 1982269122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 134101) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 95317) |
| Enumeration Date | 2019-05-02 |
| Last Update Date | 2023-11-01 |