| NPI | 1013221233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT105242) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFTI 67045) |
| Enumeration Date | 2010-07-29 |
| Last Update Date | 2018-04-09 |