| NPI | 1134535982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT115314) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT79168) |
| Enumeration Date | 2014-07-01 |
| Last Update Date | 2020-07-31 |