| NPI | 1104221142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT112969) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF71331) |
| 106H00000X Marriage & Family Therapist (Licence: CA AMFT71331) | |
| 106H00000X Marriage & Family Therapist (Licence: CA 112969) | |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2021-05-21 |