| NPI | 1215219019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT116647) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF84193) |
| Enumeration Date | 2011-09-16 |
| Last Update Date | 2019-12-12 |