| NPI | 1992373526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 132625) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 124863) |
| Enumeration Date | 2021-06-10 |
| Last Update Date | 2022-05-23 |