| NPI | 1194159970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT#85605) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF67404) |
| Enumeration Date | 2013-08-28 |
| Last Update Date | 2015-03-17 |