| NPI | 1104903137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT99772) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA imf66576) |
| 106H00000X Marriage & Family Therapist (Licence: CA 99772) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2023-03-06 |