| NPI | 1174869127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT102780) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF76963) |
| Enumeration Date | 2012-12-19 |
| Last Update Date | 2023-01-13 |