| NPI | 1982384327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 147821) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 119134) |
| Enumeration Date | 2023-07-20 |
| Last Update Date | 2024-07-09 |