| NPI | 1992252282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MD LCM887) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 119564) |
| Enumeration Date | 2016-09-05 |
| Last Update Date | 2022-10-19 |