| NPI | 1992224240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 132432) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 110917) |
| Enumeration Date | 2017-09-18 |
| Last Update Date | 2022-09-08 |