| NPI | 1235349119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT47089) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 45579) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2016-02-03 |