| NPI | 1992157150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 125334) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 76752) |
| 106H00000X Marriage & Family Therapist (Licence: CA 115060) | |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2021-08-09 |