| NPI | 1104199454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT105963) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF70500) |
| 106H00000X Marriage & Family Therapist (Licence: AZ LMFT15619) | |
| 174N00000X Lactation Consultant, Non-RN | |
| Enumeration Date | 2012-02-17 |
| Last Update Date | 2024-06-21 |