| NPI | 1215211891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT128942) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 128942) |
| 106H00000X Marriage & Family Therapist (Licence: CA AMFT100219) | |
| Enumeration Date | 2011-09-30 |
| Last Update Date | 2023-06-01 |