| NPI | 1104360932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT116069) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF96790) |
| 106H00000X Marriage & Family Therapist (Licence: VA 0717001972) | |
| 106H00000X Marriage & Family Therapist (Licence: TX 204890) | |
| Enumeration Date | 2016-12-13 |
| Last Update Date | 2023-02-08 |