| NPI | 1154661460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT104085) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF67201) |
| Enumeration Date | 2013-02-22 |
| Last Update Date | 2018-02-01 |