| NPI | 1073057253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT117916) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF95262) |
| Enumeration Date | 2016-12-07 |
| Last Update Date | 2023-06-05 |