| NPI | 1154776227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 89144) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA LMFT109569) |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2021-07-29 |