| NPI | 1164898078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT97371) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF79180) |
| Enumeration Date | 2015-08-14 |
| Last Update Date | 2019-12-31 |