| NPI | 1083793780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT53493) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WI 701-124) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2018-03-17 |