| NPI | 1174822431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT85710) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 64714) |
| Enumeration Date | 2011-03-24 |
| Last Update Date | 2018-07-11 |