| NPI | 1023566213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT109322) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 92923) |
| Enumeration Date | 2016-09-15 |
| Last Update Date | 2019-06-14 |