| NPI | 1215214044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT85602) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF68476) |
| Enumeration Date | 2011-11-08 |
| Last Update Date | 2015-06-01 |